Idaho Sports Medicine Institute, Pa is a Sports Medicine (Neuromusculoskeletal Medicine) Physician based in Boise, ID. Idaho Sports Medicine Institute, Pa practices in Boise, ID. The NPI Number for Idaho Sports Medicine Institute, Pa is 1154356624 and holds a License No. N/A FOR GROUP (Idaho).
The current practice location address for Idaho Sports Medicine Institute, Pa is 1188 University Dr, Boise, ID and can be reached out via phone at 208-336-8250 and via fax at 208-345-9514.
Identifier | Type | State | Issuer |
---|---|---|---|
805993900 | 05 | ID | |
REGENCE BLUE SHIELD | 01 | ID | GROUP # 29145 |
8628-0 | 01 | ID | BLUE CROSS OF IDAHO GROUP |
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